Individual
AGNES B KONGNYUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4603 YATES RD, BELTSVILLE, MD 20705-2681
(240) 584-1111
Mailing address
4603 YATES RD, BELTSVILLE, MD 20705-2681
(240) 584-1111
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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